Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Wallace A Beauchamp III, LCSW

Individual provider Clinical Social Worker · NPI 1417265463

Wallace A Beauchamp III, LCSW is a Clinical Social Worker in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2010.

Licensed in
AZ
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1475 N Oracle Rd
Tucson, AZ 85705-7236
Phone: (520) 624-5806
Fax: (520) 624-5817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW 11576 (AZ)

Record details

NPI number1417265463
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 23, 2010
Last updated in NPPESSeptember 23, 2010

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